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Individual

MRS. CINDY LOU COSGRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
301 W HARRISON ST, MONTICELLO, IN 47960-2211
(574) 240-1111
(574) 240-1113
Mailing address
PO BOX 3074, EVANSVILLE, IN 47730-3074
(812) 471-1591
(812) 471-6650

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001108A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000335982
ANTHEM BLUE CROSS
05
200326700
IN
01
7848517
AETNA
01
800011685
RAILROAD MEDICARE
01
M400034884
MEDICARE NUMBER
IN
Enumeration date
05/31/2005
Last updated
04/05/2016
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